Figure 1

Initial urodynamics study. Urodynamic study prior to duloxetine (Nov 2004, 4 months after onset) done in lying down position (since the patient had a very lax anal sphincter). There was severe leak (L) noted on minimal abdominal straining. Continuous pericatheter leak was noted at 225 ml at a pressure of 19 cm H20. He had an acontractile detrusor.